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EVALUATION OF ENDOMETRIAL PATHOLOGY IN WOMEN WITH ABNORMAL UTERINE BLEEDING

Dr. Shahida Aslam, Dr. Rabia Qasim, Dr. Rabeiya Ashraf

Objective: To evaluation of endometrial pathology in women with abnormal uterine bleeding. Material and methods: This cross sectional study was conducted at Department of Obstetrics & Gynecology, Sheikh Zaid Hospital, Rahim Yar Khan from April 2019 to October 2019 over the period of 6 months. Total 135 women with AUB having age 21-70 years were selected for this study. A complete clinical history, complete clinical examination, laboratory investigations, pelvic scan and endometrial biopsy were done to diagnose causes of AUB. Results: Total 135 patients of AUB were selected for this study. Most (67/50%) of the patients of AUB were between 41-50 years. Menorrhagia was the most common (85/63%) clinical presentation followed by menometrorrhagia in 38 (28%) patients and 12 (9%) patients with post-menopausal bleeding. On histopathological examination, most of the cases had disordered proliferative endometrium 48 (35.6%) followed by Secretory endometrium in 32 (23.70%) patients, Proliferative endometrium in 17 (12.59%) patients, Pill endometrium in 6 (4.44%) patients. Conclusions: Abnormal uterine bleeding was more common in the perimenopausal age group and majority had disordered proliferative endometrium and secretory changes. Endometrial sampling followed by histopathological examination helps us to diagnose the underlying pathology and will help in treating the patients appropriately including ruling out premalignant and malignant conditions of the uterus. Keywords: Abnormal uterine bleeding, Endometrium, Dilation and curettage